| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.06 | $644.47 | $644.47 | |
Aetna
| Professional | $191.12 | $204.86 | $450.00 | |
BCBS
| Facility | $274.51 | $284.14 | $298.33 | |
BCBS
| Professional | $148.58 | $174.80 | $178.77 | |
Cigna
| Facility | $513.29 | $513.29 | $902.33 | |
Cigna
| Professional | $165.35 | $317.02 | $718.21 | |
United
| Professional | $97.89 | $146.69 | $425.46 |